Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.23 / $9,006.00 / $20,135.00	Facility		$1,059.23	$9,006.00	$20,135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,580.10 / $18,150.00	Facility		$3,765.00	$8,580.10	$18,150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $841.40 / $1,214.85 / $1,591.61	Professional		$841.40	$1,214.85	$1,591.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $995.53 / $1,382.68 / $2,489.96	Professional		$995.53	$1,382.68	$2,489.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,141.19 / $11,366.28	Facility		$55.00	$11,141.19	$11,366.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $213.26 / $502.44 / $537.61	Facility	AS	$213.26	$502.44	$537.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.44 / $1,372.09 / $2,100.00	Facility		$1,113.44	$1,372.09	$2,100.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $414.35 / $414.35 / $414.35	Facility	80	$414.35	$414.35	$414.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $122.70 / $122.70 / $352.20	Facility	AS	$122.70	$122.70	$352.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00